When domestic violence is suspected in an arranged marriage, the physician should take which of the following approaches to address the issue?
- A. Refer the couple to a culturally appropriate social worker
- B. Explore the patient's inner thoughts and feelings or partner behavior that might indicate ongoing abuse
- C. Immediately file a police report against the abuser
- D. Voice the concern directly in the presence of both parties
Correct Answer: B
Rationale: Exploring privately ensures safety and builds trust to address potential abuse.
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A structural hypothesis...
- A. Theorizes which structural issues affect this family
- B. Speaks to the meaning and significance of the current family structure
- C. Clarifies the historical background of the family and how it relates to the present
- D. Describes boundaries, alignment and power related to the focal issue
Correct Answer: D
Rationale: A structural hypothesis maps out specific structural elements tied to the issue.
The child's ability to focus on more than one aspect develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Decentration, focusing on multiple aspects, develops in the concrete operational stage (Piaget).
A patients fiance died in an automobile accident several days ago. The patient reports crying and experiencing feelings of guilt and anger. This behavior is characteristic of which stage of acute grief?
- A. Denial
- B. Reorganization
- C. Development of awareness
- D. Preoccupation with the lost object
Correct Answer: C
Rationale: As denial fades, an awareness of the finality of the loss develops and is accompanied by painful feelings of loss, anger with others, and guilt for taking or not taking specific actions. Reorganization implies the movement toward healing. Denial is manifested by the inability to believe the reality of an event. Preoccupation with the lost object would involve the patient dwelling on thoughts of the deceased.
The psychoanalytical perspective was founded by
- A. Erik Erikson
- B. Sigmund Freud
- C. Jean Piaget
- D. Lev Vygotsky
Correct Answer: B
Rationale: Freud founded psychoanalysis, focusing on unconscious drives.
According to the Catholic Church, what is the primary difference between 'ordinary' and 'extraordinary' treatment options?
- A. The amount of harm or pain caused to the patient
- B. The amount of money spent on a given treatment
- C. The number of steps that a treatment option takes
- D. The degree of invasiveness of the treatment
Correct Answer: A
Rationale: The Church distinguishes based on burden, such as pain or harm.